Ayers, Andre T

Ayers, Andre T is an individual health care provider with primary practice located at 5604 Wendy Bagwell Pkwy , Hiram GA 30141-7809. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology, which is considered as his primary health care specialty. Ayers, Andre T can be contacted via phone (678) 384-1711.

Contact Information

Primary practice address
5604 Wendy Bagwell Pkwy Hiram GA 30141-7809
Phone: (678) 384-1711
Fax: (678) 384-1721
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Nuclear Medicine Technology 2471N0900X 024830 Georgia

Profile Details

NPI number 1417153339
LBN Legal business name Ayers, Andre T
Credentials NMTCB
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417153339 NPPES
Georgia Other 024830 NMTCB

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